Hyperinvasive approach to out-of hospital cardiac arrest using mechanical chest compression device

ncbi.nlm.nih.gov April 14, 2019

Authors introduce and offer a protocol of a proposed randomized study enrolling patients with witnessed OHCA presumably of cardiac origin planned to be initiated in Prague in 2012. Study will compare hyperinvasive approach encompassing prehospital intraarrest cooling, mechanical chest compression, veno-arterial ECLS and immediate invasive diagnostics in all patients compared to a standard of care. The protocol is opened for sharing by other cardiac centers with readily available ECLS and cathlab teams used to cooperate with emergency medical services to admit patients with refractory cardiac arrest under ongoing CPR to establish a net of centers for a multicenter trial realization in future.